Organization Active NPI

Citi Pharmacy

  • Community/Retail Pharmacy
  • Glendale, CA
National Provider Identifier
1679707673
Registry record updated May 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY49903 Issued in CA
Legal business name
CITI PHARMACY
Practice address
1013 S Central Ave
Glendale, CA 91204-3910
Phone
(818) 500-8660
Fax
(818) 500-8858
NPI assigned
May 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Yousra Ali Al Waheb
Title
Owner
Phone
(818) 500-8660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY49903 CA Primary

Addresses

Primary practice location

1013 S Central Ave
Glendale, CA 91204-3910

Mailing address

1013 S. Central Ave
Glendale, CA 91204
Phone (818) 500-8660

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1679707673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 S. CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91204",
            "telephone_number": "818-500-8660",
            "fax_number": "818-500-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 S CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912043910",
            "telephone_number": "818-500-8660",
            "fax_number": "818-500-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITI PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "AL WAHEB",
        "authorized_official_first_name": "YOUSRA",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-500-8660"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY49903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.